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Centre for Policy on Ageing | |
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Older people's recruitment, sustained participation, and adherence to falls preventions in institutional settings
— a supplement to the Cochrane systematic review | | Author(s) | Samuel R Nyman, Christina R Victor |
| Journal title | Age and Ageing, vol 40, no 4, July 2011 |
| Pages | pp 430-436 |
| Source | http://ageing.oxfordjournals.org/ http://www.bgs.org.uk/ |
| Keywords | Falls ; Preventative medicine ; Accident prevention ; In-patients ; Nursing homes ; Participation ; Clinical surveys. |
| Annotation | The study looked at older people's participation and engagement with randomised controlled trials (RCTs) of falls prevention programmes conducted in hospitals, nursing homes and other institutional settings. The study was part of the Cochrane systematic review of falls prevention interventions. It aimed to calculate aggregate data on recruitment (inclusion into the trial), attrition at 12-month follow-up (loss of participants from the trial), adherence (to intervention protocol), and whether adherence moderated the effect of interventions on trial outcomes. Results showed that the median inclusion rate was 48.5% (38.9-84.5%). At 12 months the median attrition rate was 10.4% (3.9-12.3%, n = 10) or with the inclusion of mortality 16.2% (9.5-17.1%, n = 11). Adherence was high for exercise that was individually targeted (e.g. 89% physical therapy) and group based (72-88%) and for medication interventions (68-88%). For multifactorial interventions, adherence ranged from 11% for attending 60+/88 of exercise classes to 93% for use/repairs of aids. Adherence as a moderator of treatment effectiveness was tested in nursing care facilities (n = 6) and positively identified in three studies for medication and multifactorial interventions. Using median rates for recruitment (50%), attrition (15%) and adherence (80%), by 12 months, it is estimated that on average only a third of nursing care facility residents are likely to be adhering to falls prevention interventions. (JL). |
| Accession Number | CPA-110922002 A |
| Classmark | OLF: LK2: OQ: LF7: LHB: TMB: 3G |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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